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Advances in the use of chloroquine and hydroxychloroquine for the treatment of COVID-19

JingKang Sun, YuTing Chen, Xiude Fan, Xiaoyun Wang, Qunying Han, Zhengwen Liu

2020Postgraduate Medicine39 citationsDOIOpen Access PDF

Abstract

studies revealed inhibitory effects of CQ/HCQ on various coronaviruses, including SARS-CoV-2 although conflicting results exist. Several clinical studies showed that CQ/HCQ alone or in combination with a macrolide may alleviate the clinical symptoms of COVID-19, promote viral conversion, and delay disease progression, with less serious adverse effects. However, recent studies indicated that the use of CQ/HCQ, alone or in combination with a macrolide, did not show any favorable effect on patients with COVID-19. Adverse effects, including prolonged QT interval after taking CQ/HCQ, may develop in COVID-19 patients. Therefore, current data are not sufficient enough to support the use of CQ/HCQ as therapies for COVID-19 and increasing caution should be taken about the application of CQ/HCQ in COVID-19 before conclusive findings are obtained by well-designed, multi-center, randomized, controlled studies.

Topics & Concepts

HydroxychloroquineMedicineChloroquineCoronavirus disease 2019 (COVID-19)Adverse effectCoronavirusPharmacologyDiseaseInternal medicineImmunologyInfectious disease (medical specialty)MalariaCOVID-19 Clinical Research StudiesSARS-CoV-2 and COVID-19 ResearchLong-Term Effects of COVID-19
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